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I have read the Participant Information Sheet, or someone has read it to me in a language that I understand. I agree to participate and provide information and biological samples as required. I consent to participate under the following conditions:
Please select only one option:
In respect to the storage and future use of my samples for:
1. Genetic analysisI give permission for the use of my samples and its derivatives for the purpose of:
2. Peripheral blood mononuclear cells (PBMCs) for downstream application of generating lymphoblastoid cell lines (LCLs)I give permission for the use of my samples and its derivatives for the purpose of:
3. Peripheral blood mononuclear cells(PBMCs) for the downstream application of generating induced Pluripotent Stem Cells (iPSC) lines and differentiated organoidsI give permission for the use of my samples and its derivatives for the purpose of:
Note: All parties signing the consent section must date their own signature
V1.2_27 June 2023